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SAN JOA UIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> Q <br /> '- <br /> COUNTY — ADMINISTRATIVE / CONDITIONAL USE PERMIT <br /> Greatness grows here . P300062 <br /> FILE gun <br /> PRE -APPLICATION : ❑ <br /> Owner Information Applicant Information <br /> FName :,J,ason and Judith Gerardot Name : Vertical Bridge <br /> dress : 25330 HWY 12 RdMailing Address : 1499 Huntington Dr . #305 <br /> Clements , CA 95227 South Pasadena , CA 91030 <br /> Phone : Phone : ( 323 ) 807 - 6571 <br /> Email : Email : mkeith@assurance-group . com <br /> Applicant' s Representative Information Design Professional Information <br /> Name : Melissa Keith obo Assurance Development/Vertical Bridge Name : Assurance Development <br /> Mailing Address : 1499 Huntington Dr . #305 Mailing Address : 1499 Huntington Dr . #305 <br /> South Pasadena , CA 91030 South Pasadena , CA 91030 <br /> Phone : Phone . <br /> Email : mkeith@assurance -group . com Email : mkeith@assurance - group . com <br /> Project Description <br /> (Attach additional sheets as necessary) <br /> ❑ Administrative Use Permit <br /> Type of application ( check only one , separate applications <br /> required for each ) : or <br /> ❑ <br /> ■ Conditional Use Permit <br /> Project Summary : Construction of telecommunications and public utility facility , consisting of a 130 ' monopole with ( 12 ) 8 ' antennas , <br /> ( 6 ) RRU ' s , ( 1 ) 2 ' microwave , ( 1 ) GPS antenna , required antenna cabling , HCS jumpers , (2 ) ground mounted radio cabinets , <br /> ( 1 ) back- up diesel generator , (2 ) raised concrete pads , cable ice bridge , utility backboard and multi - meter utility service mounted on <br /> H -frame within a 50 'x50 ' fenced lease area . No water or sewer service is required . This will be an unmanned facility . <br /> Will the project include more than one ( 1 ) phase ? (maximum of 2 phases) Yes : ❑ No : ❑■ <br /> Length of time (maximum of 5 years) : 11 /2023 ( estimated ) <br /> Note : For questions regarding phasing, contact the Planning Division at 209-468-3121 . <br /> Related Planning Application ( PA) number( s ) . <br /> Is this application tied to another <br /> discretionary application ? Yes : ❑ No : Q <br /> Property Information <br /> Assessor Parcel Number Property Address Property Size Williamson Act Contract <br /> 023 -220 -350 - 000 25230 HWY 12 RD , Clements , CA 95227 50 . 59 AC Yes : ❑ No : 0 <br /> Yes : ❑ No : ❑ <br /> Yes : ❑ No : ❑ <br /> Page 1 of 6 <br />